Optimal Approach to Thoracic Outlet Syndrome: Transaxillary, Supraclavicular, or Infraclavicular

Author(s):  
Richard J. Sanders
2020 ◽  
pp. 026835552096751
Author(s):  
Luciano Fiori ◽  
Alessandra Serrao ◽  
Antonietta Ferretti ◽  
Antonio Chistolini

Venous thoracic outlet syndrome (VTOS) is a manifestation of venous symptoms that occurs when the subclavian vein is compressed and it may present clinically with acute venous thrombosis of the axillo-subclavian vein. Evidence for the optimal approach to the management of this condition is sparse and actually anticoagulation alone is not considered an option. Herein we reported our experience with direct oral anticoagulants in patients with upper extremities deep vein thrombosis, due to VTOS, who refused endovascular approach or surgery.


1990 ◽  
Vol 9 (2) ◽  
pp. 297-310
Author(s):  
Sumner E. Karas

2001 ◽  
Vol 21 (5) ◽  
pp. 508-520 ◽  
Author(s):  
Masayuki Sho ◽  
Dmitry V. Samsonov ◽  
David M. Briscoe

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Yasuhiro Nakajima

Surgical treatment for thoracic outlet syndrome (TOS) is a very controversial surgery because objective diagnosis, such as image and electrophysiological examination, is very difficult. Clinical provocation tests including brachial plexus compression tests, such as Morley and Roos, and vascular compression tests, such as Wright and Eden ,are not high in specificity and are likely to be positive even in healthy persons and patients with carpal tunnel syndrome. We place emphasis on the laterality of latency and amplitude in the sensory neural action potential (SNAP) of the medial antebrachial cutaneous nerve and ulnar nerve. After enough stretching exercises of scapular stabilizers and brachial plexus block, we always select surgery. In this presentation, I would like to show our diagnosis method and treatment strategy including surgery.


2020 ◽  
Vol 39 (1) ◽  
Author(s):  
Francesco Stilo ◽  
Nunzio Montelione ◽  
Filippo Benedetto ◽  
Domenico Spinelli ◽  
Rossella C. Vigliotti ◽  
...  

Author(s):  
Marco A. Carmona ◽  
Alexey A. Munishkin ◽  
Megan Boivin ◽  
Dejan Milutinovic

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